• The Pharmacists in Ambulatory/Outpatient Care

    Ambulatory care pharmacy practice is defined as the provision of integrated, accessible healthcare services by pharmacists who are accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. This is accomplished through direct patient care and medication management for ambulatory patients, long-term relationships, coordination of care, patient advocacy, wellness and health promotion, triage and referral, and patient education and self-management. The ambulatory care pharmacists may work in both an institutional and community-based clinic involved in direct care of a diverse patient population. A variety of specialty clinics are available for allergy and immunology, pulmonology, endocrinology, cardiology, nephrology, neurology, behavioral health, and infectious disease. Such services for this population may exist as a primary care clinic or an independent specialty clinic, typically in a PCMH, which is instrumental in coordinating care between various providers. Once a practice site is identified, it is important to establish a strong, trusting, and mutually beneficial relationship with the various decision-makers (e.g., administrators, providers) involved with the clinic. If pharmacy services are currently in existence, the pharmacy director may be able to identify and initially contact the appropriate person. If another pharmacist is providing clinical services, this person would be a resource to help determine areas for expansion of patient care and to whom to direct the proposed business plan. Additional individuals to consider as an initial point of contact include the clinic manager, clinic medical director, or administrative assistant to either of these persons. If the clinic setting is affiliated with a medical school, it may be necessary to contact the Department of Family Medicine head.

  • Design and Research of a Multi-functional Robot Arm for Automatically Grabbing Fans

    This program solves the problems of manpower demand and low efficiency in the manufacturing process of ready-to-eat fan blocks by designing the three processes of ready-to-eat fan blocks, namely, grasping, weighing and forming problems. First of all, for the fans’ crawling problem, this product will be designed and solved from two aspects: 1. Visual recognition: In this design scheme, the visual recognition uses OpenMV3 system, and the OV7725 model camera is used first. The free integrated development environment (IDE) is used to debug the program. The SIFT algorithm is used to achieve visual target positioning and accurately identify the position of the fans to facilitate the grasping of the robot arm. 2. Path control of the manipulator: Through the RBF neural network algorithm, a large amount of training is performed on the manipulator, and the robot arm path is automatically controlled to realize the process of grabbing the fan and putting it into the fixed container. Secondly, in response to the weighing problem of fans, this product will incorporate a gravity sensor to realize the gravity sensing of the robot arm to capture fans, and convert the quality of the fans into digital signals for system processing and analysis. The use of constant temperature town empty warehouse not only ensures the quality and safety of fans, but also maintains the precision of each weighing quality. Finally, the robotic claws of the robot arm are used to control the rotation of the robot by multiple bionic control.

  • Head And Neck Tumors: Oral Repercussions Of Antineoplastic Therapy

    Introduction: Head and neck neoplasia is the sixth most common cancer in the world and can manifest in several areas of the head (mouth), scalp, skin of the face and neck. The treatment of choice is defined according to the histopathological type, topographic location, relation with neighboring anatomical structures, staging, general clinical condition of the individual affected by the disease and medical-hospital conditions, ranging from surgery, radiotherapy and uni or multimodal chemotherapy. Despite the various therapeutic possibilities for head and neck cancer, all treatments bring with them side effects, immediate and / or late repercussions that may compromise the function and buco-maxillofacial aesthetics and, consequently, the individual’s quality of life. Objectives: To identify side effects and immediate and late oral repercussions arising from antineoplastic therapy in the head and neck region. Methodology: Literature review based on published articles available on the internet, in the database systems: Medlars on line International Literature (Medline), Latin American and Caribbean Literature in Health Sciences (Lilacs) and Brazilian Bibliography of Dentistry (BBO) present on the website of the Virtual Health Library (VHL). Results and Discussion: The literature is unanimous in indicating the most frequently observed complications in this group of patients: mucositis, opportunistic infections, radiodermatitis, hyposalivation, xerostomia, radiation caries, dysphagia, ageusia, trismus, soft tissue necrosis and osteoradionecrosis. In addition to the morbidity associated with cancer, its treatment also produces numerous side effects, several of which are oral manifestations with immediate and / or late repercussions, and may present more markedly in patients with precarious oral health conditions and lack of dental care. Conclusion: It is imperative to seek the prevention and early diagnosis of these tumors, in order to avoid death and mutilation, which compromise the patient’s quality of life, as well as provide timely dental care.

  • Humanized Assistance To The Patient With Hanseniasis: Implications For Nursing

    Introduction: Leprosy is a chronic, neglected and stigmatizing infection of compulsory notification. Caused by Mycobacterium leprae that affects the peripheral nerves and organs in the severe form of the disease, its transmission occurs by upper airway but can be cutaneous. The symptoms are white or reddish spots with no local sensitivity. It is incapacitating, due to the sequelae in the upper and lower limbs besides it suffers prejudice from society in general. In this perspective it is important to understand the role of nurses in the care of leprosy patients. Methodology: The present study consists of an integrative review of literature, in the databases SCIELO, CAPES, BIREME, LILACS and REPOSITORIES, between the years of 2000 to 2016. Objective: To ascertain the nurse’s assistance to the leprosy patient and analyze how the National Program Of Humanization (PNH) backs you. Results and Discussion: According to the PNH humanize the assistance to the leprosy holder means: it acts from clinical, ethical and political guidelines, which translate into certain working arrangements. Nurses’ attribution Understand the leprosy patient as a biopsychosocial being, with his individuality and subjectivity, treating him with attention and deference. Within a humanistic view it is the duty of nurses to perform interventions in the care process, using techniques and care when attending the patient, but the challenge proposed by the HNP is to welcome this patient to listen to him, share the moments, learn from the situation, be Coherent, smiling, make the consultation harmonious, not label, and responds promptly. Conclusion: The use of HNP guidelines by the nurse is of paramount importance in welcoming and fostering patients’ understanding of the disease, reducing cases of treatment abandonment, improving patient health and reducing social stigmas.

  • Factors Associated With Increase In The Incidence Of Arterial Hypertension In Pernambucan Adolescents

    Introduction: Hypertension (AH) is a chronic no communicable disease (NCD), defined as systolic pressure repeatedly greater than 140 mmHg or diastolic pressure of 90 mmHg or higher, develops slowly and gradually. Currently there has been a gradual increase in cases of hypertension among children and adolescents, where cases have been registered at an earlier age, becoming a problem that has attracted the concern of health professionals. Methodology: The present study consists of an integrative review of the literature, in the databases: CAPES, LILACS, SCIELO, between the years of: 2000 to 2016. To analyze the risk factors associated with the increase in the incidence of hypertension in adolescents from Pernambuco. Results and Discussion: According to the literature, 17.3% of hypertension cases in Pernambuco are recorded in adolescents and children. Among the factors that are associated with the increasing rate of prehypertension and hypertension in adolescent Pernambucans is obesity, which is a reflection of the economic, social, and demographic changes resulting from the growing industrialization. The passage between childhood and adolescence is a period of biopsychosocial transformations in which lifestyle and patterns of eating and physical activity are being structured. These factors make possible the development of hypertension: obesity, reduction of physical activity, alcohol and tobacco use, stress are conditions of probability for the development of hypertension among young people and has been consolidating as a serious health problem Public. Conclusion: The actions of control of risk factors for arterial hypertension is of paramount importance the early detection of important blood pressure changes and the promotion of changes of habit that can favor improvements in health and quality of life, being the school space a promotion environment Of healthy lifestyle.

  • Popularization and diffusion of technical-scientific knowledge in order to combat oral cancer, prevention and early diagnosis

    Introduction: Some Primary Health Care (PHC) experiences have been incipiently instituted since the beginning of the 20th century, but, considering oral cancer, this form of early intervention in the natural history of the disease needs to be valued and performed. smoking, alcoholism and sun exposure, or associated with it, act as preventable risk factors, even with the participation of viruses such as human papillomavirus (HPV), nutritional deficiencies, immunological deficiencies and genetic alterations that contribute to the development of cancer. Objective: Popularization and diffusion of technical-scientific knowledge in order to combat oral cancer, prevention and early diagnosis. Methodology: Through the University, the interrelation of teaching, research, extension and assistance is experienced, favoring the formation of health professionals who are more conscious, supportive and citizens, in view of the philosophy of development of the culture of prevention and diagnosis early diagnosis of oral cancer. Educational / preventive / diagnostic activities are routinely developed at the request of both the population and the health services. Results and Discussion: Knowledge, a basic tool for prevention, has been constructed / shared among the population, students and health and education professionals, since humanized learning produces shared benefits and the development of the Program to Combat Cancer of the Mouth – activity of extension of the UPE, which has already collaborated with the training of 13,000 PHC professionals, reinforces the possibility of inter-transmultidisciplinary action as a transforming agent capable of modifying the epidemiological profile of the disease, strongly associated with external factors – habits and lifestyle of the population. Conclusion: PHC can contribute through education, access and greater effectiveness of health services, it is possible to provide better conditions for prevention, early diagnosis and reduction of disabilities and deaths.

  • The authorization of the bearers of anemia falciforme

    Introduction: The term sickle cell disease encompasses a group of hereditary hemolytic anemias that have in common the presence of hemoglobin S within the red blood cell. In this group, anemia-falciform (AF) is highlighted, which presents clinical, hematological, genetic, anthropological and epidemiological importance, due to its high morbidity and mortality, which is considered a public health problem. It is chronic, incurable and usually causes a high degree of suffering to their patients, and life expectancy in average of 40 years. Decentralized, multidisciplinary, humanized quality care with emphasis on self-care can modify the natural history of the disease reducing its morbidity and mortality. In this context, Orem’s Nursing Systems Theory describes self-care as the practice of activities that people perform for their own benefit, in the sense of maintaining life, health and well-being, and the nurse is the professional which will enable this individual to be an agent capable of self-care. Objective: To understand the perception of patients with AF on self-care. Methodology: Descriptive study of a qualitative approach, approved by CEP-HEMOPE under CAAE 65281117.0.0000.5195. The method used was the recording of six interviews performed with patients with PA treated at the HEMOPE hospital in May 2016. The sample was determined by saturation of the speeches. In the evaluation the technique of content analysis of Bardin was used. Results and Discussion: 1. Characterization of the sample, 2. Content analysis: Theme 1. The importance of caring, Theme 2. Knowledge about care. Conclusion: We conclude that it is indispensable to health education by the nurse for self-care of these patients, in order to allow the empowerment of its client on the clinical and therapeutic aspects of the disease favoring the quality of life and longevity, stimulating the practice of the right of citizenship.